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FEDERAL RESERVE BANK
OF NEW YORK
Fiscal Agent o f the United States
r Circular No. 5 5 2 8 1
July 31, 1964
J

L

CASH OFFERING
3% Percent Treasury Notes of Series C-1966

To All Banking Institutions, and Others Concerned,
in the Second Federal Reserve District:

The subscription books m il be open Monday, August 3, fo r one day only, for a Treasury
offering, at par, of 3% percent Treasury Notes of Series C-1966, dated August 15, 1964,
maturing February 15, 1966, in the amount of $4 billion, or thereabouts.
Subscriptions will be subject to allotment. Payment must be made by August 17, in cash,
or in 5 percent Treasury Notes o f Series B-1964, or in 3% percent Treasury Notes o f Series
E-1964, both maturing August 15, 1964. Payment cannot be made by credit to Treasury Tax
and Loan Accounts.
The terms o f the offering are set forth in Treasury Department Circular No. 11-64, Public
Debt Series, a copy o f which is printed on the following pages. Subscriptions from all sub­
scribers, except banking institutions for their own account and others as specified in Section II I
o f the Treasury circular, must be accompanied by payment o f 2 percent (in cash or in maturing
securities) of the amount of securities applied for. I f subscribers required to make deposits
desire to deposit maturing securities but do not have the denominations to meet exactly the
minimum deposit requirement, they are urged to leave any excess on deposit to avoid denomina­
tional exchanges and unnecessary movement o f securities.
Commercial banks may submit subscriptions for account of customers, provided the names
of the customers are set forth in such subscriptions. All others may submit subscriptions only
for their own account. Commercial banks are urged to retain the required deposits (cash or
maturing securities) of their customers until after allotment of the new securities; if maturing
securities are retained, the risk and expense involved in forwarding them to this Bank will thus
be avoided. Commercial banks are urged to enter subscriptions for their own account and for
account o f their customers with the Federal Reserve Bank or Branch in the District in which
they are located.
Subscriptions eligible for full allotment.— Subscriptions by or for account of States, political

subdivisions or instrumentalities thereof, public pension and retirement and other public funds,
international organizations in which the United States holds membership, foreign central banks
and foreign States, Government Investment Accounts, and the Federal Reserve Banks will be
allotted in full if accompanied by a certification that the total amount of its subscriptions does
not exceed the amount of the two maturing issues o f eligible securities owned or contracted
for purchase for value, at 4 p.m., Eastern Daylight Saving time, July 29, 1964. I f any sub­
scription is entered by or for account o f such subscriber without a certification or in an

19 14



F I F T I E T H

A N N I V E R S A R Y

19 6 4

amount larger than the amount certified, then all subscriptions by or for account of such
subscriber, including any accompanied by a certification, will be allotted on the basis of the
publicly announced allotment. Copies of a certification form are enclosed for all commercial
banks and other addressees on our mailing lists that may include such subscribers.
Subscriptions will be received by this Bank as fiscal agent o f the United States. Sub­
scriptions should be submitted immediately on the enclosed Form N - l ; if maturing securities
accompany a subscription, the enclosed Form N-2 should be submitted with Form N -l. I f filed
by telegram or letter, the subscriptions should be confirmed immediately by mail on the forms
provided. The subscription books will remain open fo r one day only, Monday, August 3. Any
subscription addressed to a Federal Eeserve Bank or Branch or to the Treasury Department
and placed in the mail before midnight Monday will be considered timely.

A

lfred

H

a y e s

,

President.

UNITED STATES OF AMERICA
3% PERCENT TREASURY NOTES OF SERIES C-1966
Dated and bearing interest from August 15, 1964

Due February 15, 1966

TREASU RY DEPARTMENT,
OFFICE OF THE SECRETARY,

DEPARTMENT CIRCULAR

^ U h / T July 30, 1964.
S iV fftO l,

Public Debt Series — No. 11-64

I.

OFFERING OF NOTES

1.
The Secretary of the Treasury, pursuant to the
authority of the Second Liberty Bond Act, as amended,
invites subscriptions, subject to allotment, at par and
accrued interest, from the people of the United States
for notes of the United States, designated 3% per­
cent Treasury Notes of Series C-1966. The amount of
the offering under this circular is $4,000,000,000, or
thereabouts.
The following securities maturing
August 15, 1964, will be accepted at par in payment
or exchange, in whole or in part, for the notes sub­
scribed for, to the extent such subscriptions are al­
lotted by the Treasury:
5 percent Treasury Notes of Series B-1964; or
3% percent Treasury Notes of Series E-1964.
The books will be open only on August 3, 1964, for
the receipt of subscriptions for this issue.




II.

DESCRIPTION OF NOTES

1. The notes will be dated August 15, 1964, and
will bear interest from that date at the rate of 3%
percent per annum, payable semiannually on Feb­
ruary 15 and August 15, 1965, and on February 15,
1966. They will mature February 15, 1966, and will
not be subject to call for redemption prior to maturity.
2. The income derived from the notes is subject to
all taxes imposed under the Internal Revenue Code of
1954. The notes are subject to estate, inheritance, gift
or other excise taxes, whether Federal or State, but
are exempt from all taxation now or hereafter im­
posed on the principal or interest thereof by any
State, or any of the possessions of the United States,
or by any local taxing authority.
3. The notes will be acceptable to secure deposits
of public moneys. They will not be acceptable in pay­
ment of taxes.

4. Bearer notes with interest coupons attached,
and notes registered as to principal and interest, will
be issued in denominations of $1,000, $5,000, $10,000,
$100,000, $1,000,000, $100,000,000 and $500,000,000.
Provision will be made for the interchange of notes
of different denominations and of coupon and regis­
tered notes, and for the transfer of registered notes,
under rules and regulations prescribed by the Sec­
retary of the Treasury.
5. The notes will be subject to the general regula­
tions of the Treasury Department, now or hereafter
prescribed, governing United States notes.
III.

S U B SC R IP T IO N A N D A L L O T M E N T

1. Subscriptions will be received at the Federal
Reserve Banks and Branches and at the Office of the
Treasurer of the United States, Washington, D. C.
20220. Only the Federal Reserve Banks and the Treas­
ury Department are authorized to act as official
agencies. Commercial banks, which for this purpose
are defined as banks accepting demand deposits, may
submit subscriptions for account o f customers pro­
vided the names o f the customers are set forth in such
subscriptions. Others than commercial banks will not
be permitted to enter subscriptions except for their
own account. Subscriptions from commercial banks
for their own account will be restricted in each case
to an amount not exceeding 50 percent of the com­
bined capital (not including capital notes or deben­
tures), surplus and undivided profits of the subscrib­
ing bank. Subscriptions will be received without
deposit from banking institutions for their own ac­
count, Federally-insured savings and loan associations,
States, political subdivisions or instrumentalities
thereof, public pension and retirement and other
public funds, international organizations in which the
United States holds membership, foreign central banks
and foreign States, dealers who make primary mar­
kets in Government securities and report daily to the
Federal Reserve Bank of New York their positions
with respect to Government securities and borrowings
thereon, Federal Reserve Banks and Government In­
vestment Accounts. Subscriptions from all others
must be accompanied by payment (in cash or in se­
curities of the two issues enumerated in paragraph 1
of Section I hereof, which will be accepted at par) of
2 percent of the amount of notes applied for, not sub­
ject to withdrawal until after allotment. Registered
notes submitted as deposits should be assigned as pro­
vided in Section V hereof. Following allotment, any
portion of the 2 percent payment in excess of 2 per­
cent of the amount of notes allotted may be released
upon the request of the subscribers.
2. All subscribers requesting registered notes will
be required to furnish appropriate identifying num­
bers as required on tax returns and other documents
submitted to the Internal Revenue Service, i.e., an
individual’s social security number or an employer
identification number.
3. All subscribers are required to agree not to. pur­
chase or to sell, or to make any agreements with
respect to the purchase or sale or other disposition of




any notes of this issue at a specific rate or price, until
after midnight August 3, 1964.
4. Commercial banks in submitting subscriptions
will be required to certify that they have no beneficial
interest in any of the subscriptions they enter for the
account of their customers, and that their customers
have no beneficial interest in the banks’ subscriptions
for their own account.
5. The Secretary of the Treasury reserves the right
to reject or reduce any subscription, to allot less than
the amount of notes applied for, and to make different
percentage allotments to various classes of subscribers;
and any action he may take in these respects shall be
final. Subject to these reservations, all subscriptions
from States, political subdivisions or instrumentalities
thereof, public pension and retirement and other
public funds, international organizations in which the
United States holds membership, foreign central banks
and foreign States, Federal Reserve Banks and Gov­
ernment Investment Accounts will be allotted in full
if the subscriber certifies in writing that at 4 p.m.,
Eastern Daylight Saving Time, July 29, 1964, it
owned or had contracted to purchase for value securi­
ties of the two issues enumerated in paragraph 1 of
Section I hereof in an aggregate amount equal to or
greater than the amount of its subscription. I f the
certification is not made none of such subscriber’s
subscription shall be subject to a preferred full allot­
ment. The basis of the allotment will be publicly an­
nounced, and allotment notices will be sent out
promptly upon allotment.
IV .

PAYM ENT

1. Payment at par and accrued interest,1 if any,
for notes allotted hereunder must be made or com­
pleted on or before August 17, 1964, or on later allot­
ment. Payment will not be deemed to have been com­
pleted where registered notes are requested if the
appropriate identifying number, as required by para­
graph 2 of Section III hereof, has not been furnished;
provided, however, if a subscriber has applied for but
is unable to furnish the identifying number by the
payment date only because it has not been issued, he
may elect to receive, pending the furnishing of the
identifying number, interim receipts and in this case
payment will be deemed to have been completed. In
every case where full payment is not completed, the
payment with application up to 2 percent of the
amount of notes allotted shall, upon declaration made
by the Secretary of the Treasury in his discretion, be
forfeited to the United States. Payment may be made
for any notes allotted hereunder in cash or by ex­
change of securities of the two issues enumerated in
paragraph 1 of Section I hereof, which will be ac­
cepted at par. Where payment is made with notes in
bearer form, coupons dated August 15, 1964, should
be detached and cashed when due. In the case of
registered notes, the final interest due on August 15,
1964, will be paid by check drawn in accordance with
the assignments on the notes surrendered, or by credit
l Accrued interest from August IS to August 17, 1964, will not be
collected.

in any account maintained by a banking institution
with the Federal Reserve Bank of its District.
V.

“ The Secretary of the Treasury for 3% percent
Treasury Notes of Series C-1966 in coupon form to
be delivered t o ..............................

A S S IG N M E N T OF R E G IST E R ED N O TE S

1.
Treasury Notes of Series B-1964 and Series
E-1964 in registered form tendered as deposits and in
payment for notes allotted hereunder should be as­
signed by the registered payees or assignees thereof,
in accordance with the general regulations of the
Treasury Department, in one of the forms hereafter
set forth. Notes tendered in payment should be sur­
rendered to a Federal Reserve Bank or Branch or
to the Office of the Teasurer o f the United States,
Washington, D. C. 20220. The maturing notes must
be delivered at the expense and risk of the holder.
I f the new notes are desired registered in the same
name as the notes surrendered, the assignment should
be to “ The Secretary of the Treasury for 3% percent
Treasury Notes of Series C-1966” ; if the new notes
are desired registered in another name, the assign­
ment should be to “ The Secretary of the Treasury
for 3% percent Treasury Notes of Series C-1966 in
the name of .................................. ” ; if new notes in
coupon form are desired, the assignment should be to




V I.

G E N E R A L P R O V ISIO N S

1. As fiscal agents of the United States, Federal
Reserve Banks are authorized and requested to receive
subscriptions, to make allotments on the basis and up
to the amounts indicated by the Secretary of the
Treasury to the Federal Reserve Banks of the respec­
tive Districts, to issue allotment notices, to receive
payment for notes allotted, to make delivery of notes
on full-paid subscriptions allotted, and they may issue
interim receipts pending delivery of the definitive
notes.
2. The Secretary of the Treasury may at any time,
or from time to time, prescribe supplemental or
amendatory rules and regulations governing the offer­
ing, which will be communicated promptly to the
Federal Reserve Banks.
DOUGLAS DILLON,

Secretary of the Treasury.

FO R M N-2 (Subm it in trip lica te )

Subscriber’s Reference No.

Subscription No.

Securities Accompanying Subscription
For United States of America 3% Percent Treasury Notes of Series C-1966
Dated August 15, 1964, Due February 15, 1966
F ed eral R eserve B a n k of N e w Y o r k ,

Fiscal Agent of the United States,
New York, N. Y. 10045

a ......................................................
................................................................1964

Gentlem en :

Referring to subscription entered in the amount of $............................................... for United States of
America 3% percent Treasury Notes of Series C-1966, the undersigned delivers the following securities
herewith :
Face amount

5 percent Treasury Notes of Series B-1964 (detach coupons) ..................

$.............................

3% percent Treasury Notes of Series E-1964 (detach coupons) ................

$.............................

(D o not fill in boxes below)

________ _________________________ _

Submitted by

G o ver n m ent B ond D ivision
Received
Checked
Cancelled

C O N T R O L CO P Y




Address

Subscriber’s Reference No.

Subscription No.

Securities Accompanying Subscription
For United States of America 3% Percent Treasury Notes of Series C-1966
Dated August 15, 1964, Due February 15, 1966
F

ederal

R

eserve

B

an k

op

N

e w

Y

ork

,

Fiscal Agent of the United States,
New York, N. Y. 10045
G

entlem en

Dated at ......................................................
................................................................1964

:

Referring to subscription entered in the amount of $............................................... for United States of
America 3% percent Treasury Notes of Series C-1966, the undersigned delivers the following securities
herewith:
Face amount

5 percent Treasury Notes of Series B-1964 (detach coupons) ..................

$.............................

3% percent Treasury Notes of Series E-1964 (detach coupons) ................

$..............................

Submitted by
Address

S E C U R IT Y RECOR DS “ I N T I C K E T ”




.........

Subscriber’s Reference No.

Subscription No.

NONNEGOTIABLE RECEIPT
To Subscriber:
Federal Reserve Bank of New York, Fiscal Agent of the United States, hereby acknowledges receipt of

securities deposited in the amount indicated below with subscription numbered as above in exchange for
3% PERCENT TREASU RY NOTES OF SERIES C-1966
Securities allotted on this subscription will be delivered
on August 17, 1964, in accordance with vour instructions.

b

J

Teller
Government Bond Division— Issues & Redemption Section

To F ederal R eser v e B a n k

op

N

ew

£ £ £ ??£ £ £ M vvvvvvvyvvvvvyyyyyyyyy
X X X X X X X X ^X X X X X X X X X X X X X X X X ?O C X X X X

xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
Face amount

Y ork,

Treasury Notes of Series B-1964

Fiscal Agent of the United States
(Date)

$

Treasury Notes of Series E-1964

$

You are hereby authorized to deliver to
(Nam e o f representative)

Submitted by

w
hose signature appears below,
$............................... . par amount
of securities issued pursuant to this subscription.

Address .......

Name ............................. —
....................... -..
(Please print)

(Official signature required)

(Signature o f authorized representative)




To Subscriber:

If securities are to be delivered over the
counter at this Bank to your representative,
the authority in the box to the left should
be executed on the date of delivery.

(Submit with subscription)

Certification by States, Political Subdivisions or Instrumentalities Thereof,
Public Pension and Retirement and Other Public Funds, International Organi­
zations in Which the United States Holds Membership, Foreign Central Banks
and Foreign States, Federal Reserve Banks and Government Investment
Accounts Pursuant to Section III, Treasury Department Circular, Public Debt
Series — No. 11-64

(This certificate may be executed by a subscriber in one of the classes listed
above or by a commercial bank entering a subscription for account of such a
subscriber.)

, 1964

To the Federal Reserve Bank of New York:

The undersigned hereby certifies that the total amount of its
subscriptions for 3% percent Treasury Notes of Series C-1966 offered
pursuant to Treasury Department Circular No. 11-64, Public Debt
. The undersigned further cerSeries, is $.
tifies that at 4 p.m., Eastern Daylight Saving Time, July 29, 1964, it
owned or had contracted to purchase for value an equal or greater
amount in the aggregate of 5 percent Treasury Notes of Series B-1964
and 3% percent Treasury Notes of Series E-1964.




(Name o f organization)

By
(Official signature)

(T itle)

(A commercial bank executing this certificate should sign below)

(Nam e o f bank)

By

(Official signature)

for above-named organization.

(T itle)

FORM N -l
Subscriber’s Eeference No.

(Please type or print legibly)

Subscription No.

SUBSCRIPTION— SUBJECT TO ALLOTM ENT
For United States of America 3% Percent Treasury Notes o f Series C-1966
Dated August 15, 1964, Due February 15, 1966
IM PO RTAN T INSTRUCTIONS
Payment. Payment for the new notes to be allotted hereunder may be made in cash, or by exchange at par of 5 %
Treasury Notes of Series B -196 4 or 3 % % Treasury Notes of Series E -1 9 6 4 , both maturing August 15, 19 64 . Coupons
dated August 15, 1 9 6 4 should be detached from the maturing notes in bearer form and cashed when due. Payment
fo r the new notes cannot be made b y credit through Treasury Tax and Loan Account.
D eposit. Subscriptions from banking institutions for their own account and from certain others as specified in
Section III of Treasury Department Circular No. 1 1 -6 4 , Public Debt Series, will be received without deposit. Subscrip­
tions from all others must be accompanied by payment (in cash or in maturing securities) of not less than 2 % of the
amount of notes applied for, except that commercial banks subscribing for account of customers are urged to retain
their customers’ deposits until after allotment. Checks accompanying the subscriptions should be made payable to the
Federal Reserve Bank of New York.
Subscription amounts.
Amount of notes applied for must be in multiples of $ 1 ,0 0 0 .

The subscription books will be open only on August 3
for the receipt of subscriptions.
Federal Reserve Bank of New York,

Fiscal Agent of the United States,
New York, N. Y. 10045
Attention :

Dated at ......................................................
................................................................ 1964
Government Bond Division

Gentlemen :

Pursuant to the provisions of Treasury Department Circular No. 11-64, Public Debt Series, dated
July 30, 1964, the undersigned hereby subscribes at par for United States of America 3% percent
Treasury Notes of Series C-1966, as follow s:
For own a cco u n t...........................................................................................................

$................................

For our customers, shown on reverse side (for use of commercial banks) . . . .

$...............................

Total su bscription ..................................................

$................................

(If securities are submitted with this subscription, the securities should be accompanied by Form N -2, which form
shall be made a part of your subscription.)

(I f the subscriber is, or is subscribing for account of, a member of one of the investor classes listed
below, a check in the appropriate box should be indicated. Subscriptions from the investor classes listed
below will receive full allotment only if accompanied by a written certification that the total amount of
its subscriptions does not exceed the amount of the two maturing eligible issues of securities owned or
contracted for purchase for value, at 4 p.m., Eastern Daylight Saving Time, July 29, 1964. A form for
the certification is enclosed. Commercial banks should not include subscriptions accompanied by such
certifications on the same form with other subscriptions.)
□ States, political subdivisions or instrumentalities thereof
□ Public pension and retirement and other public funds
□ International organizations in which the United States holds membership
□ Foreign central banks and foreign States
(If a commercial bank is subscribing for its ow account or for account of customers, the following certifications are made
n
a part of this subscription.)

W e Hereby Certify that we have received applications from our customers in the amounts set opposite
the customers’ names on the list which is made a part of this subscription; that there has been paid to
us by each such customer as required by official offering circular, not subject to withdrawal until after
allotment, not less than 2 percent of the amount applied fo r ; that we have not made unsecured loans, or
loans collateralized in whole or in part by the securities applied for, to supply the amounts of such payments
to any of such customers; that we have no beneficial interest in the applications of such customers and
that none of our customers has any beneficial interest in the amount subscribed for our own account.
W e F urther Certify that all subscribers for whom subscriptions are hereby entered have agreed not
to purchase or to sell, or to make any agreements with respect to the purchase or sale or other disposition
of any notes of this issue at a specific rate or price, until after midnight, August 3, 1964.
W e Further Certify that the subscription for our own account does not exceed 50 percent of our
combined capital (not including capital notes or debentures), surplus and undivided profits.
W e F urther Certify that applications received by us, if any, from other commercial banks for their
own account and for the account of their customers have been entered with us under the same conditions,
agreements, and certifications as set forth in this subscription form.




The undersigned agrees not to purchase or to sell, or to make any agreements with respect to the pur­
chase or sale or other disposition of any notes of this issue at a specific rate or price until after midnight.
August 3, 1964.
(Fill in all required spaces before signing)

TO SU BSCRIBER:
Mark (X ) in proper space
to indicate if this is :

(Name o f subscriber— Please print or typewrite)

Original su bscription.......... □

By
(Official signature)

Confirmation of a telegram. . □
Confirmation of a letter . . . .

□

(T itle)

Address
(D o not write in space below)

Deposit received by .............................................................. Allotment $ ... -.......................................
Figured -- ------------

Advised

(If acknowledgment of this subscription is desired, complete this stub)

Receipt is acknowledged of your subscription for $.........................................
of Series C-1966, dated August 15, 1964, maturing February 15, 1966.

of 3 % % Treasury Notes

For use of Federal Reserve Bank

Time Stamp

To




(Name)

(Address)

(For use of commercial bank subscribers only)

List of Accounts Included in this Subscription
( I f space is insufficient in schedule below, attach separate listing)

Leave
blank




Name of Customer

Amount Subscribed

Leave blank

(Note— Do not include subscriptions entitled to full allotment on the same form as other subscriptions.)




Subscription Number

FEDERAL RESERVE BANK
OF NEW YORK
F iscal

Agen t

o f

t h e

U nited

S ta te s

NOTICE OF ALLOTMENT
For United States of America 3 % Percent Treasury Notes of Series C-1966

To Subscriber:

n

On your subscription, numbered as above, for $

(par amount) of—

U N ITE D S T A T E S OF A M E R IC A 3 % PERCENT T R E A S U R Y N O TE S OF SERIES C -196 6
D A T E D A U G U S T 15, 1964, D UE F E B R U A R Y 15, 1966

which you filed pursuant to the provisions of Treasury Department Circular No. 11-64, Public Debt Series, dated July 30,
1964, the Secretary of the Treasury has allotted notes to you in the amount of—
$

Important
1. To expedite delivery of the notes allotted to you and to facilitate prompt completion of this transaction, please
fill in, sign and return immediately the attached Letter of Instructions to the Federal Reserve Bank of New York,
Fiscal Agent of the United States, New York, N. Y . 10045.

Payment
2. Payment at par for notes allotted must be made on or before August 17, 1964, as follows:
B y Check—

The check should be made payable to the order of the F E D E R A L R E SE R V E B A N K OF N E W Y O R K , FISC A L A G E N T

OF

The notes will not be delivered by this Bank until the proceeds of a check have been collected. The proceeds of
a check drawn on the Federal Reserve Bank of New York are immediately available.

T H E U N IT E D ST AT E S.

By Cash—

Payment may be made in cash.

By Charge—

A member bank may make payment by requesting us to charge its reserve account, or a nonmember clearing bank may make

payment by requesting us to charge its clearing account.

By Maturing Securities— Payment may be made by exchange of

5

of Series E-1964. The coupons due August 15, 1964 should be

percent Treasury Notes of Series B-1964 or 3 % percent Treasury Notes
detached from the notes surrendered and cashed in regular course.

Delivery
3. (a) Delivery of the notes allotted will be made by the Federal Reserve Bank of New York at its Head Office in
New York City, and will not be made before August 17, 1964.
(b) The notes allotted may be received over the counter by a representative of the subscriber, provided the repre­
sentative presents a letter of authority identifying him and signed officially by the subscriber.

Safekeeping
4. Notes allotted to member banks for their own account may be left with this Bank for safekeeping pursuant to
the terms of our Operating Circular No. 14.
F ederal R eserve B ank of N ew Y ork,
Fiscal Agent of the United States.

Checked by




(This letter of instructions, accompanied by attached two copies, should
be filled in and returned to Federal Reserve Bank of New York)

Subscription Number

LETTER OF INSTRUCTIONS
To

F e d e ra l R eserve

Bank

o f N ew

2

Y ork ,

Fiscal Agent of the United States,
Federal Reserve P. 0. Station,
New York, N. Y. 10045

Attention: Government Bond Division— 2nd Floor

From (Name and address of Subscriber)

Dated a t ......................................................
............................................................... 1964

On our subscription, numbered as above, for $

(par amount) of—

U NITED S T A T E S OF A M E R IC A 3 % PERCENT T R E A S U R Y N O TES OF SERIES C -196 6
D A T E D A U G U S T 15, 1964 , DUE FE B R U A R Y 15, 1966

which we filed pursuant to the provisions of Treasury Department Circular No. 11-64, Public Debt Series, dated July 30,
1964, we have received your notice of allotment stating that the Secretary of the Treasury has allotted notes to us in the
amount of—
$
As requested, we send you the following instructions:
Deposit has been made—
By check or cash $.....................................
By maturing 5 percent Treasury Notes of Series B-1964.............. $..................................... (par amount)
By maturing 3% percent Treasury Notes of Series E-1964.......... $..................................... (par amount)
Payment of balance due, if any, for the new notes allotted will be made as follows :
□

By charge to our reserve account, which you are authorized to make

□

By check

□ By cash

By maturing securities—
5% Treas. Notes
Series B-1964

3 % % Treas. Notes
Series E-1964

Delivered to you h erew ith ......................................................

$................................

$................................

To be withdrawn from securities held by y o u ......................

$................................

$................................

To be delivered b y ....................................................................

$...........:....................

$..............................

T o t a l.............................................................................................

$................................

$................................

I f the amount of maturing securities delivered is in excess of the amount of new notes allotted, redeem excess amount
indicated below in accordance with Form G.B.311 (Request for Redemption of Bearer Securities).
Excess amount of maturing securities to be redeem ed..................
(use Form G.B.311)
B EARER
(F o r

Denomi­
nation

eces

$

NOTES DESIRED

REGISTERED

$................................

Dispose of securities issued, as follows:

notes— use only reverse side)

(Leave this space blank)

Face amount

$................................

1,000

□ 1. Deliver over the counter to the undersigned
□ 2. Hold in safekeeping (for member bank only)*
□ 3. Hold as collateral for Treasury Tax and Loan Account*
□ 4. Ship to the undersigned
□ 5. Special instructions:

5,000

10,000
100,000

*
If this item is checked, the undersigned certifies that the
allotted notes will be owned solely by the undersigned.

1,000,000
(IM P O R T A N T :
be accepted.)

TOTAL

This letter of instructions must be signed
officially in the space provided and re­
turned immediately to

Submitted by

Federal Reserve Bank of New York,

Title.............

No changes in delivery instructions will

Fiscal Agent of the United States.

(.Please print)

By .............

By
(Authorized signature(s) required)

......................

Title ...........

Address.....................................................................................

(Spaces below are for the use of the Federal Reserve Bank o f New Y ork )
G o ver n m ent B ond D ivision

Received

S afekeeping D ivision

Checked

Cancelled

Deliver against payment of $....................................
DELIVERY RECEIPT
Received from Federal Reserve Bank of New York, Fiscal Agent of the United States, the above described securities allotted in the amount
indicated above.
Date



Subscriber

By

Schedule for Issue of Registered Notes

(If registered notes, which are mailed directly by Treasury Department, Washington, D. C., are not to be sent to the registered
ow
ner, give mailing instructions below.)




M ail registered notes to

Subscription Number

(D U P L IC A T E F O R USB OF F E D E R A L R E S E R V E B A N K O F N E W Y O R K )

RELOCATION O F F IC E -O U T
To

F e d e r a l R eserve

Bank

o f N ew

Y ork ,

Fiscal Agent of the United States,
Federal Reserve P. 0. Station,
New York, N. Y. 10045

Attention: Government Bond Division— 2nd Floor

From (Name and address of Subscriber)

Dated a t ............
.1964

On onr subscription, numbered as above, for $

(par amount) of—

U N ITE D S T A T E S OF A M E R IC A 3 % PERCENT T R E A S U R Y N O TE S OF SERIES C -196 6
D A T E D A U G U S T 15, 19 64 , DUE F E B R U A R Y 15, 1966

which we filed pursuant to the provisions of Treasury Department Circular No. 11-64, Public Debt Series, dated July 30,
1964, we have received your notice of allotment stating that the Secretary of the Treasury has allotted notes to us in the
amount of—

$
As requested, we send you the following instructions:
Deposit has been made—
By check or cash $.....................................
By maturing 5 percent Treasury Notes of Series B-1964.............. $..................................... (par amount)
By maturing 3% percent Treasury Notes of Series E-1964.......... $..................................... (par amount)
Payment of balance due, if any, for the new notes allotted will be made as follow s:
□

By charge to our reserve account, which you are authorized to make

□

By check

□

By cash

By maturing securities—
5% Treas. Notes
Series B-1964

Delivered to you h erew ith ......................................................

$.

To be withdrawn from securities held by y o u ......................

3%% Treas. Notes
Series E-1964

$.

To be delivered b y ....................................................................
T o t a l.............................................................................................

$.

I f the amount of maturing securities delivered is in excess of the amount of new notes allotted, redeem excess amount
indicated below in accordance with Form G.B.311 (Request for Redemption of Bearer Securities).
Excess amount of maturing securities to be redeem ed..................
(use Form G.B.311)
BEARER
( F or

**,e
s

REGISTERED

Denomi­
nation
$

NOTES DESIRED

$................................

Dispose of securities issued, as follow s:

notes— use only reverse side)

Face amount

$................................

(Leave this space blank)

1,000

□
Q
0
0
0

1.
2.
3.
4.
5.

Deliver over the counter to the undersigned
Hold in safekeeping (for member bank only)*
Hold as collateral for Treasury Tax and Loan Account*
Ship to the undersigned
Special instructions:

5,000

10,000
100,000

*
If this item is checked, the undersigned certifies that the
allotted notes will be owned solely by the undersigned.

1,000,000
(IM P O R T A N T :
be accepted.)

TOTAL

This letter of instructions must be signed
officially in the space provided and re­
turned immediately to
Federal Reserve Bank of New York,
Fiscal Agent of the United States.

Submitted by

No changes in delivery instructions will

(Please print)

By •

By
(Authorized signature(s) required)

Title

.............................

Title

..............

Address.....................................................................................

(Spaces below are for the use of the Federal Reserve Bank o f New Y ork )
G o vern m ent B ond D ivision

Received

S afekeeping D ivision

Checked

Cancelled
Checked .

Deliver against payment of $

..............................

Delivered

DELIVERY RECEIPT
Received from Federal Reserve Bank of New York, Fiscal Agent of the United States, the above described securities allotted in the amount
indicated above.
Date.......................................... Subscriber....................................................................... B y ............................................................................................



Schedule for Issue of Registered Notes
(Indicate under appropriate denominations, number
of notes desired.)

Name in which notes shall be registered, taxpayer identifying number
(S ocial Security A ccoun t N um ber or Employer Identification N um ber),
and post-office address for interest checks and other mail.
(Please print or typew rite)

Amount

$1,000

$5,000

$10,000

$100,000

$1,000,000

Ident. No.......................................................................................
Address.........................................................................................

Ident. No......................................................................................

Address..................................................................................

Ident. No........................... ...........................................................
Address................................................................ ...... .................

Ident. No............ ..........................................................................

Address.........................................................................................

(If registered notes, which are m
ailed directly by Treasury Department, Washington, D. C., are not to be sent to the registered
ow
ner, give mailing instructions below.)




Mail registered notes to ..............................................................................................................

ui

■1
»
-

T-

*W U I ■! .1111 II | I
..H.JI >
■

(TR IP LIC A T E FOR USE OF FE D E R A L RE SERVE BANK OF NEW YORK)

Subscription Number

DELIVERY TICKET— SAFEKEEPING DIVISION
To

F e d e ra l R eserve

B an k

o f

N ew

4

Y ork ,

Fiscal Agent of the United States,
Federal Reserve P. 0. Station,
New York, N. Y. 10045

Attention: Government Bond Division— 2nd Floor

From (Name and address of Subscriber)

Dated a t ...................................................
.1964

On our subscription, numbered as above, for $

(par amount) of__

U N ITE D S T A T E S OF A M E R IC A 3 % PERCENT T R E A S U R Y N O TE S OF SERIES C -196 6
D A T E D A U G U S T 15, 1 9 64 , D UE F E B R U A R Y 15, 1966

which we filed pursuant to the provisions of Treasury Department Circular No. 11-64, Public Debt Series, dated July 30,
1964, we have received your notice of allotment stating that the Secretary of the Treasury has allotted notes to us in the
amount of—

$
As requested, we send you the following instructions:
Deposit has been made—
By check or cash $.....................................
By maturing 5 percent Treasury Notes of Series B-1964.............. $..................................... (par amount)
By maturing 3% percent Treasury Notes of Series E-1964.......... $..................................... (par amount)
Payment of balance due, if any, for the new notes allotted will be made as follow s:
□ By charge to our reserve account, which you are authorized to make

□

By check

□

By cash

By maturing securities—
5% Treas. Notes

3%% Treas. Notes
Series E-1964

Series B-1964

Delivered to you h erew ith ..............................
To be withdrawn from securities held by you
To be delivered b y ............................................
T o t a l .......... .........................................................
I f the amount of maturing securities delivered is in excess of the amount of new notes allotted, redeem excess amount
indicated below in accordance with Form G.B.311 (Request for Redemption of Bearer Securities).
Excess amount of maturing securities to be redeemed ..................
(use Form G.B.311)
BEARER
(F o r

REGISTERED

Denomi­
nation

eces
$

NOTES DESIRED

$................................

Dispose of securities issued, as follows:

notes— m e only reverse side)

Face amount

$................................

(Leave this space blank)

1,000

□ 1. Deliver over the counter to the undersigned
□ 2. Hold in safekeeping (for member bank only)*
□ 3. Hold as collateral for Treasury Tax and Loan Account*
□ 4. Ship to the undersigned
□ 5. Special instructions:

5,000

10,000
100,000

If this item is checked, the undersigned certifies that the
allotted notes will be owned solely by the undersigned.

1, 000,000

(IM P O R T A N T :
be accepted,)

TOTAL

This letter of instructions must be signed
officially in tlie space provided and re­
turned immediately to
Federal Reserve Bank of New York,
Fiscal Agent of the United States.

Submitted by

No changes in delivery instructions will

(Please print)

By ..

By
(A uthorized signature(s) required)

Title

......................

Title ...........

Address.....................................................................................

(Spaces below are for the use o f the Federal Reserve Bank o f New Y ork )
G o vern m ent B ond D ivision

Received

S afekeeping D ivision

Checked

Cancelled
Checked .
Delivered

Deliver against payment of $....................................

DELIVERY RECEIPT
Received from Federal Reserve Bank of New York, Fiscal Agent of the United States, the above described securities allotted in the am
ount
indicated above.
Date



Subscriber

•By

Schedule for Issue of Registered Notes
(Indicate under appropriate denominations, number
of notes desired.)

Name in which notes shall be registered, taxpayer identifying number
(S ocial Security A ccoun t N um ber or Employer Identification N um ber),
and post-office address for interest checks and other mail.

( Please pnnt or typewrite)

Am ount

$1,000

$5,000

$10,000

$100,000

$1,000,000

Ident. N o......................................................................................
Ad dress.........................................................................................

Ident. No.......................................................................................
Address.........................................................................................

Ident. No......................................................................................
Address.........................................................................................

Ident. No.......................................................................................
Address.........................................................................................

(If registered notes, which are mailed directly by Treasury Department, Washington, D. C., are not to be sent to the registered
ow
ner, give mailing instructions below.)




M ail registered notes to

& rv vw
•„

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.-n-

7

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*

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-

ALLOTMENT NOTICE FOR GOVERNMENT BOND DIVISION

To Subscriber:

Subscription

.................... $

(Par amount) of-

U N ITE D S T A T E S OF A M E R IC A 3 % PERCENT T R E A S U R Y N O TE S OF SERIES C -196 6
D A T E D A U G U S T 15, 1 9 64 , D UE FE B R U A R Y 15, 1966

Allotment

........................

$
DISPOSITION
Over Counter

DEPOSIT

Safekeeping

T. T. &L.

Excess amount Treasury Notes Series E-1964 to be redeemed....

$...................................
Ship

Special Instructions
PAYMENT

/




ALLOTMENT NOTICE FOR SECURITY FILES

To Subscriber:

Subscription

.................... $

(par amount) of—

U N ITE D S T A T E S OF A M E R IC A 3 % PERCENT T R E A S U R Y N O TE S OF SERIES C -1 9 6 6
D A T E D A U G U S T 15, 1964, D UE F E B R U A R Y 15, 1966

Allotment




$

ALLOTMENT NOTICE FOR SECURITIES DEPARTMENT

To Subscriber:

Subscription

.................... $

(par amount) of—

U N ITED S T A T E S OF A M E R IC A 3 % PER CENT T R E A S U R Y N O TE S OF SERIES C -196 6
D A T E D A U G U S T 15, 1 9 64 , DUE FE B R U A R Y 15, 1966

Allotment




$


Federal Reserve Bank of St. Louis, One Federal Reserve Bank Plaza, St. Louis, MO 63102